Information Collection

mySocial Security Supplemental Security Income Change of Telephone (SSICOT)

IC 249420 under ICR 202205-0960-003 · OMB 0960-0789.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0960-0789 can be found here:

Documents and Forms

Document Name Document Type
OMB Screen Package Internet Screens September 2021 Release.pdf www.ssa.gov Other-Internet Screens
OMB Screen Package Internet Screens September 2021 Release.pdf www.ssa.gov Other-Internet Screens

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	mySocial Security Supplemental Security Income Change of Telephone (SSICOT)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 402 20 CFR 401.45

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Internet Screens			OMB Screen Package Internet Screens September 2021 Release.pdf	www.ssa.gov	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	350,000	350,000
Annual IC Time Burden (Hours)	157,500	157,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.